Preface |
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xix | |
Contributors |
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xx | |
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Section I Bricks and Mortar |
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1 | (96) |
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1 To Rent or to Buy: That Is the Question |
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2 | (6) |
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1.1 Twelve Years of Education and Yet |
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2 | (1) |
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1.2 Location, Location, Location |
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3 | (1) |
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1.3 Buying versus Leasing 101 |
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3 | (1) |
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1.4 Are You Ready for Commitment? The Pros and Cons of Purchasing Office Space |
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3 | (1) |
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1.5 Constant Vigilance: The Pros and Cons of Leasing Office Space |
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4 | (2) |
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1.6 City Mouse, Country Mouse |
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6 | (1) |
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1.7 There's a Perfect Match for Everyone |
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6 | (1) |
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6 | (2) |
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8 | (5) |
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3 How Much Space Do I Need? |
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13 | (13) |
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13 | (1) |
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3.2 Number of Providers and Workflow |
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14 | (1) |
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14 | (1) |
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3.4 Spatial Configurations and Design Organizational Patterns |
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15 | (3) |
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3.5 Clinical and Support Areas Needed |
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18 | (1) |
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3.6 Program and Area Requirements Calculations |
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19 | (7) |
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4 Creating a Business Plan |
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26 | (9) |
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26 | (1) |
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4.2 Creating Your Business Plan |
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27 | (3) |
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30 | (3) |
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33 | (1) |
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33 | (2) |
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35 | (8) |
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35 | (1) |
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35 | (1) |
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5.3 Elements of the Room Layout |
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36 | (4) |
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5.4 Other Important Considerations |
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40 | (1) |
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41 | (1) |
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41 | (2) |
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43 | (7) |
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43 | (1) |
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43 | (3) |
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46 | (2) |
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48 | (1) |
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49 | (1) |
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7 Creating a Practice Ambience |
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50 | (4) |
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50 | (1) |
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7.2 Creating a Welcome Area |
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51 | (3) |
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8 Photography and Space Requirements for Everyday and Clinical Trials |
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54 | (5) |
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54 | (1) |
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55 | (1) |
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55 | (1) |
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8.4 Positioning the Patient and Framing the Photograph |
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56 | (1) |
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8.5 The Camera: Compression, Focus, and Resolution |
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57 | (1) |
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8.6 Storage and Transmission |
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57 | (1) |
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57 | (2) |
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9 Corporate Structure: Limited Liability and Taxation |
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59 | (5) |
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9.1 What Does Corporate Structure Mean? |
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59 | (2) |
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9.2 Selecting a Corporate Structure |
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61 | (1) |
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9.3 Corporations and Medicine: The Prohibition of Corporate Practice of Medicine |
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62 | (1) |
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63 | (1) |
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10 Academic versus Private Practice |
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64 | (4) |
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64 | (1) |
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10.2 Private Practice: Solo, Dermatology Croup, Medical/Surgical Croup |
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65 | (3) |
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11 Managing the Telecom and IT of Your Business: The Central Nervous System of a Medical Practice |
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68 | (6) |
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68 | (1) |
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11.2 Hire an IT Consultant |
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69 | (1) |
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11.3 Reserve a Domain Name and Corporate Email Account |
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69 | (1) |
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11.4 Establish a Physical Service Address |
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70 | (1) |
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11.5 Reserve Phone and Fax |
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70 | (1) |
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70 | (1) |
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11.7 Establish Service Contracts |
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71 | (1) |
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11.8 Business Associate Agreement |
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72 | (1) |
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72 | (1) |
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73 | (1) |
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73 | (1) |
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12 Choosing and Implementing an Electronic Medical Record System |
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74 | (8) |
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74 | (1) |
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12.2 Step One: Set a Tone |
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75 | (1) |
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12.3 Step Two: Create a Multidisciplinary Implementation Team |
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76 | (1) |
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12.4 Step Three: Choose the Software |
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77 | (1) |
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12.5 Step Four: Configure Your Software |
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77 | (1) |
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12.6 Step Five: Identify Hardware and Personnel Needs |
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77 | (1) |
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12.7 Step Six: Transfer Data |
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78 | (1) |
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12.8 Step Seven: Decide on the Launch Approach |
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78 | (1) |
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12.9 Step Eight: Develop Disaster Protocols |
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79 | (1) |
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12.10 Step Nine: Initiate Your Training Plan |
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79 | (1) |
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12.11 Step Ten: Enhance EMR-related Communication Skills |
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80 | (1) |
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80 | (2) |
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13 Private Equity and Venture Capital-Backed Practice Models |
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82 | (15) |
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82 | (1) |
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13.1 Part A: The Corporatization of Dermatology |
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83 | (5) |
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13.2 Part B: Testimonials from Dermatologists Regarding PE-Backed Practices |
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88 | (4) |
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13.3 Part C: Selling a Practice: The Viewpoint from Someone Who Sold |
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92 | (5) |
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Section II Human Resources |
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97 | (48) |
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14 Essential Components of an Employee Manual |
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98 | (6) |
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98 | (2) |
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14.2 Step One: Why Are You Doing This? |
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100 | (1) |
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14.3 Step Two: Who Are You? |
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100 | (1) |
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14.4 Step Three: Gather Your Policies |
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100 | (1) |
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14.5 Step Four: Choosing a Template |
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101 | (1) |
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14.6 Step Five: Creating a Welcome Message |
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101 | (1) |
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14.7 Step Six: Table of Contents |
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101 | (1) |
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14.8 Step Seven: Handbook Topic Selection |
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101 | (2) |
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14.9 Step Eight: You're Donel |
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103 | (1) |
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103 | (1) |
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15 Vision and Mission Statement |
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104 | (3) |
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104 | (1) |
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15.2 What Are Vision and Mission Statements? |
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104 | (1) |
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15.3 Why Do You Need a Vision and/or Mission Statement? |
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105 | (1) |
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15.4 How Do You Write a Vision Statement? |
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105 | (1) |
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15.5 Examples of Vision Statements |
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105 | (1) |
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15.6 How Do You Write a Mission Statement? |
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105 | (1) |
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15.7 Examples of Mission Statements |
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106 | (1) |
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15.8 Should a Mission Statement Change with Time? |
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106 | (1) |
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106 | (1) |
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16 Employees versus Independent Contractors |
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107 | (7) |
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108 | (1) |
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16.2 Step One: What Exactly Is an Independent Contractor? |
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108 | (1) |
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16.3 Step Two: Deciding If Becoming an Independent Contractor Is the Right Step for You |
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109 | (2) |
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16.4 Step Three: Once You Have Decided on Your Preferred Employment Model, What Are the Next Steps? |
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111 | (2) |
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113 | (1) |
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17 Salaried versus Hourly Wage: Which Is Better and for What Positions? |
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114 | (3) |
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114 | (1) |
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114 | (1) |
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115 | (1) |
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17.4 When Hourly Is Better |
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116 | (1) |
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17.5 When Salaried Is Better |
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116 | (1) |
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17.6 Incentives, Emotions, and Unintended Consequences |
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116 | (1) |
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18 The Practice Administrator |
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117 | (4) |
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18.1 What to Consider When Assessing the Need for a Practice Administrator |
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117 | (3) |
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120 | (1) |
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19 A Primer on Employment Law for Dermatology Practices |
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121 | (6) |
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122 | (1) |
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122 | (2) |
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19.3 The Day-to-Day of Employment |
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124 | (2) |
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126 | (1) |
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126 | (1) |
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127 | (7) |
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127 | (1) |
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20.2 Essential Staff/Employee Policies |
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128 | (1) |
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20.3 Dress Code, Grooming, and Appearance |
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128 | (2) |
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130 | (1) |
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20.5 Computers, Electronic Mail, Electronic Record, and Voice Mail Usage Policy |
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130 | (1) |
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131 | (1) |
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132 | (1) |
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20.8 Arbitration Policy and Agreement |
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132 | (1) |
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20.9 Safety, Security, and Avoiding Theft |
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133 | (1) |
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133 | (1) |
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20.11 Policy on Handling Cash |
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133 | (1) |
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21 Questions to Ask When Bringing on a Physician |
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134 | (6) |
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135 | (1) |
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21.2 Where Should You Start When Expanding Your Practice? |
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136 | (1) |
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21.3 Step One: Plan Requirements for Onboarding a Physician |
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136 | (1) |
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21.4 Step Two: Searching for a Physician |
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136 | (1) |
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21.5 Step Three: Getting to Know Potential Physicians |
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137 | (1) |
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137 | (1) |
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21.7 Interview To-Do List |
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137 | (1) |
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21.8 Questions to Ask and Questions to Avoid |
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138 | (1) |
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21.9 Breaking Down the Benefits |
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138 | (1) |
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21.10 Do You Feel a Connection? |
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139 | (1) |
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139 | (1) |
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22 Designing Your Cosmetic Dermatology Practice for Maximum Efficiency: A Case Study |
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140 | (5) |
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22.1 Your Vision, Your Mission |
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140 | (1) |
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22.2 Building Your Dream Team |
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140 | (1) |
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141 | (1) |
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141 | (1) |
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22.5 Day-to-Day Strategies |
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142 | (1) |
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142 | (1) |
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142 | (1) |
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143 | (1) |
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22.9 Efficient Ordering and Inventory |
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144 | (1) |
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144 | (1) |
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Section III Patient Relations |
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145 | (46) |
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23 "It Depends": No-show Fees, Cancellation Policies, and Deposits for Procedures |
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146 | (7) |
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147 | (1) |
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23.2 Why Do Patients No-show for Appointments? |
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147 | (1) |
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23.3 The Anatomy of a No-Show Fee |
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148 | (2) |
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23.4 Prepayments and Deposits on Procedures |
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150 | (1) |
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150 | (1) |
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151 | (2) |
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24 Reminder Calls/Texts: Implementing an Effective Appointment Reminder System |
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153 | (6) |
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24.1 The Cost of Missed Appointments |
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153 | (1) |
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24.2 Increasing Attendance with Appointment Reminders |
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154 | (1) |
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24.3 Not All Reminders Are Created Equal |
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155 | (1) |
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156 | (3) |
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25 Is There a Better Way to Answer Calls? |
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159 | (5) |
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159 | (1) |
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160 | (3) |
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163 | (1) |
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26 Critical Components of Consents and Documentation |
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164 | (9) |
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26.1 The Legal Landscape in Dermatology |
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165 | (1) |
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165 | (1) |
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26.3 Negligence and the Standard of Care |
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166 | (3) |
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26.4 Habit Evidence and the Importance of Written Documentation |
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169 | (1) |
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170 | (3) |
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27 Patient Portals and Communication in the Age of EMR |
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173 | (6) |
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173 | (2) |
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27.2 Portals and Communication |
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175 | (2) |
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177 | (2) |
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28 Teledermatology Ground Rules |
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179 | (4) |
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179 | (1) |
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28.2 Rule One: Add Teledermatology to Add Value |
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180 | (1) |
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28.3 Rule Two: Pick the Right Platform(s) to Use |
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180 | (1) |
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28.4 Rule Three: You Gotta Get Paid |
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181 | (1) |
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28.5 Rule Four: Teledermatology Can Work Well |
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181 | (1) |
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28.6 Rule Five: But Not Always |
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181 | (1) |
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182 | (1) |
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183 | (8) |
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183 | (1) |
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29.2 Techniques for Risk Management |
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184 | (2) |
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29.3 Measures for Mitigating Consequences of an Adverse Event |
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186 | (1) |
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29.4 Consent and Arbitration |
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187 | (1) |
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188 | (3) |
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Section IV The Daily Grind |
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191 | (68) |
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192 | (6) |
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192 | (1) |
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30.2 The Schedule Pundits |
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193 | (4) |
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197 | (1) |
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31 Delegating: Physician Extenders and Integration into a Practice |
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198 | (6) |
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198 | (1) |
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31.2 What Is an "Extender"? |
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198 | (1) |
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31.3 Question One: Wait Time |
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199 | (1) |
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31.4 Question Two: Your Personality |
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200 | (1) |
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201 | (1) |
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31.6 Question Three: New Crad versus Experienced Extender |
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201 | (1) |
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31.7 Question Four: Supervision |
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201 | (1) |
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31.8 Question Five: Changing Your Office Flow |
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202 | (1) |
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31.9 Delegating to Your Extender |
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202 | (1) |
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202 | (1) |
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203 | (1) |
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32 Managing Expectations of Staff |
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204 | (4) |
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204 | (1) |
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32.2 Section One Objectives |
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204 | (1) |
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32.3 Section Two Objectives |
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205 | (2) |
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32.4 A Note on Managing Burnout |
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207 | (1) |
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33 Pricing Cosmetic Procedures |
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208 | (5) |
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208 | (1) |
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33.2 Commodity versus Luxury |
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209 | (1) |
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33.3 Recognize Your Worth and Make It Known |
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210 | (1) |
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33.4 Pricing Your Procedures |
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211 | (1) |
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33.5 How Expensive Should I Be? Price Matching and Discounting |
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211 | (1) |
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212 | (1) |
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34 Integrating Cosmeceuticals into Daily Practice |
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213 | (7) |
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213 | (1) |
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34.2 Our Skin Care Consultant and Project Leader |
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214 | (1) |
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34.3 Choosing Products and Making Coals |
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215 | (1) |
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34.4 Educating and Indoctrinating Staff |
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215 | (1) |
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215 | (1) |
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34.6 Regimen Cards for Common Diagnoses |
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215 | (1) |
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34.7 Internet and Social Media |
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216 | (1) |
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216 | (1) |
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34.9 Loyalty Programs and Skin Care |
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217 | (1) |
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218 | (1) |
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34.11 Specific Financial Considerations and Benchmarks |
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218 | (1) |
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34.12 Common Pitfalls When Starting a Skin Care Business |
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218 | (1) |
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219 | (1) |
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35 Building a Budget/Calculating Overhead |
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220 | (6) |
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220 | (1) |
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35.2 Methods for Identifying Revenue |
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221 | (1) |
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35.3 Methods for Calculating Expenses |
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221 | (1) |
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35.4 Methods for Creating a Budget |
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222 | (4) |
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36 Evaluating Pharmacies and Patient Coupons |
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226 | (5) |
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226 | (1) |
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36.2 Specialty Pharmacies |
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227 | (1) |
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228 | (1) |
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229 | (2) |
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37 Deciding What Services to Provide |
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231 | (13) |
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232 | (1) |
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37.2 General Service Categories |
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232 | (5) |
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237 | (1) |
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238 | (2) |
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37.5 Training and Experience |
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240 | (1) |
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240 | (1) |
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37.7 Insurance Considerations and Profit Margin |
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241 | (1) |
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242 | (1) |
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243 | (1) |
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38 Evaluating a Laser for Purchase and Calculating a Return on Investment for a Device |
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244 | (11) |
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244 | (5) |
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249 | (1) |
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250 | (4) |
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254 | (1) |
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39 Evaluating Costs of Fillers and Toxins: Brand Loyalty versus Offering Everything |
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255 | (4) |
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255 | (1) |
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39.2 Tracking Inventory, Pricing, and Promotions |
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256 | (2) |
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39.3 Patient Participation in Brand Loyalty |
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258 | (1) |
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258 | (1) |
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Section V The Nitty-Gritty |
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259 | (30) |
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260 | (5) |
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260 | (1) |
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40.2 Disposable versus Nondisposable Surgical Instruments |
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260 | (1) |
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261 | (1) |
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40.4 Scalpel Handles and Blades |
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261 | (1) |
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262 | (1) |
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262 | (1) |
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263 | (1) |
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263 | (1) |
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264 | (1) |
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40.10 Sterilization Methods |
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264 | (1) |
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264 | (1) |
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41 Essential Stock to Start a Practice |
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265 | (7) |
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265 | (1) |
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41.2 Step One: Your Budget |
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265 | (1) |
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41.3 Step Two: Examination Rooms |
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266 | (1) |
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266 | (1) |
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41.5 Step Four: Incorporating Your Electronic Medical Record (EMR) |
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266 | (1) |
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41.6 Step Five: Prepare Your Rooms to Best Handle Your Most Important Services |
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266 | (1) |
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41.7 Step Six: Determine How Many Instruments and Supplies You Need |
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267 | (1) |
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41.8 Step Seven: Establish Your Method of Sterilization |
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268 | (1) |
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41.9 Step Eight: Have an Inviting Waiting Room |
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268 | (1) |
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41.10 Step Nine: Be Prepared to Send Patients Home with Appropriate Supplies |
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268 | (1) |
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41.11 Step Ten: Sell and Stock Products If It Fits Your Personal Model for Patient Care |
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269 | (1) |
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41.12 Building a Cosmetic Component to Your Practice |
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269 | (2) |
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271 | (1) |
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42 Essential Stock for Cosmetic Procedures: How to Determine What to Carry, and Control Inventory and Costs |
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272 | (6) |
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272 | (3) |
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42.2 Benign Lesion Removal |
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275 | (1) |
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275 | (1) |
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275 | (1) |
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276 | (1) |
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276 | (1) |
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277 | (1) |
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43 What Devices Does Your Practice Need? |
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278 | (5) |
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278 | (1) |
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279 | (1) |
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280 | (1) |
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43.4 Financial Considerations |
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281 | (2) |
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44 Loyalty and VIP Programs |
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283 | (6) |
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283 | (2) |
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44.2 Outside Loyalty Programs and How They Relate to You and Your Patients |
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285 | (1) |
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285 | (1) |
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44.4 Ethics and Legality of Loyalty and VIP Programs |
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286 | (1) |
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286 | (3) |
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289 | (38) |
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45 The Most Important Components of a Successful Website |
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290 | (7) |
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290 | (1) |
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290 | (1) |
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291 | (1) |
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291 | (2) |
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45.5 The Essential Components |
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293 | (1) |
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293 | (1) |
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45.7 Access to the Patient Portal |
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293 | (1) |
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45.8 Access to Patient Forms |
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294 | (1) |
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45.9 Access to Privacy and Policies |
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294 | (1) |
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45.10 Access to Online Patient Appointments |
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294 | (1) |
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|
294 | (1) |
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295 | (1) |
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45.13 Mobile Accessibility |
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295 | (1) |
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|
295 | (1) |
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295 | (1) |
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45.16 An Online Retail Store |
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296 | (1) |
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45.17 Join a Mailing List |
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296 | (1) |
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296 | (1) |
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296 | (1) |
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296 | (1) |
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296 | (1) |
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296 | (1) |
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297 | (7) |
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297 | (1) |
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46.2 Step One: Who Is This For? |
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298 | (1) |
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298 | (1) |
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46.4 Step Three: Which Platform to Choose |
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299 | (1) |
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46.5 Step Four: How Do I Do It? |
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300 | (2) |
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46.6 Step Five: Gaining a Following |
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302 | (1) |
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46.7 Great, but I Am Already Overwhelmed |
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302 | (1) |
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303 | (1) |
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303 | (1) |
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47 Creating and Nurturing a Brand/Logo |
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304 | (5) |
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304 | (1) |
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47.2 Step One: Identify the Goals of Your Brand |
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304 | (1) |
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47.3 Step Two: Identify the Pillars of your Practice |
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305 | (1) |
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47.4 Step Three: Create a Mission Statement for Your Brand |
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|
305 | (1) |
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47.5 Step Four: Create a Slogan |
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306 | (1) |
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47.6 Step Five: Pick a Name |
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306 | (1) |
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47.7 Step Six: Pick Your Web Address and Social Media Handles |
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306 | (1) |
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47.8 Step Seven: Design Elements of Your Branding |
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307 | (1) |
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47.9 Step Eight: Design a Website |
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|
307 | (1) |
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47.10 Step Nine: Protect Your Brand |
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|
307 | (1) |
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47.11 Step Ten: Design Your Dream Office |
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|
308 | (1) |
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48 Managing Your Online Reputation |
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309 | (6) |
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|
309 | (1) |
|
48.2 Online Reputation Management Pearls |
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|
310 | (1) |
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48.3 Track Mentions of Your Name and Brand |
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|
310 | (1) |
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48.4 Claim Your Brand on Key Social Media Platforms |
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|
310 | (1) |
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48.5 Proactively Track Your Online Reviews |
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|
310 | (1) |
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48.6 Addressing Negative Reviews |
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|
311 | (1) |
|
48.7 Develop a Robust Plan to Generate Positive Reviews |
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|
311 | (1) |
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48.8 Create a Consistent Voice Online |
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|
312 | (1) |
|
48.9 Beware of Negative Search Engine Optimization (SEO) and Other Online Attacks |
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|
312 | (1) |
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48.10 Build Your Influence through Great Content |
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|
312 | (1) |
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48.11 Enlist in Social Media Monitoring |
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|
312 | (1) |
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48.12 How NOT to Sue or Get Sued |
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|
313 | (1) |
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314 | (1) |
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314 | (1) |
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314 | (1) |
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315 | (5) |
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315 | (1) |
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49.2 How to Increase Your Chances of Being on a Show |
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316 | (1) |
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|
316 | (1) |
|
49.4 Preparing for the Event |
|
|
316 | (1) |
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|
316 | (1) |
|
49.6 General Points to Consider during the Interview |
|
|
317 | (1) |
|
49.7 Examples of Dos and Don'ts for Neuromodulators |
|
|
318 | (1) |
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|
318 | (1) |
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|
318 | (2) |
|
50 Marketing and Advertising Your Dermatology Practice |
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|
320 | (7) |
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|
|
320 | (1) |
|
50.2 Creating and Establishing a Brand |
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|
321 | (1) |
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|
322 | (1) |
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|
323 | (1) |
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50.5 Search Engine Optimization |
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|
323 | (1) |
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|
324 | (1) |
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|
324 | (1) |
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|
325 | (1) |
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|
325 | (1) |
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50.10 Offers and Discounts |
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|
325 | (1) |
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|
326 | (1) |
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|
326 | (1) |
|
Section VII Miscellaneous |
|
|
327 | (26) |
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|
328 | (7) |
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|
|
|
328 | (1) |
|
51.2 Creating the Foundation for Growth |
|
|
328 | (1) |
|
51.3 Define Your Practice Purpose and Ideals |
|
|
329 | (1) |
|
51.4 Know Your Practice Type and Competitors |
|
|
329 | (1) |
|
51.5 Ways to Grow Your Practice |
|
|
329 | (1) |
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|
330 | (1) |
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|
330 | (1) |
|
51.8 Service, Service, Service |
|
|
331 | (1) |
|
51.9 It's All about the Results |
|
|
331 | (1) |
|
51.10 Show Patients that You Care |
|
|
331 | (1) |
|
51.11 Appointment Scheduling |
|
|
331 | (1) |
|
|
332 | (1) |
|
51.13 Marketing and Public Relations |
|
|
332 | (2) |
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|
334 | (1) |
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|
334 | (1) |
|
52 Mohs: Outsource or Keep In-House |
|
|
335 | (3) |
|
|
|
335 | (1) |
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|
336 | (1) |
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|
336 | (1) |
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|
337 | (1) |
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|
337 | (1) |
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|
337 | (1) |
|
53 The Ground Rules of Teaching in a Private Practice |
|
|
338 | (4) |
|
|
|
338 | (2) |
|
53.2 Methodology for Establishing a Teaching Program |
|
|
340 | (2) |
|
54 Staying Active Nationally in the Years after Residency |
|
|
342 | (4) |
|
|
|
342 | (1) |
|
54.2 Why Be Active Nationally? |
|
|
343 | (1) |
|
|
343 | (1) |
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|
343 | (1) |
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|
343 | (1) |
|
54.6 Consulting and Advisory Boards |
|
|
344 | (1) |
|
|
344 | (1) |
|
54.8 Publishing and Media |
|
|
344 | (1) |
|
|
344 | (1) |
|
|
344 | (1) |
|
|
344 | (1) |
|
54.12 International Involvement |
|
|
345 | (1) |
|
54.13 Keep Crowing and Enjoying Practice |
|
|
345 | (1) |
|
55 Getting Involved in Advocacy |
|
|
346 | (7) |
|
|
|
|
|
346 | (1) |
|
|
346 | (1) |
|
|
347 | (1) |
|
|
348 | (1) |
|
55.5 Legislative Advocacy |
|
|
349 | (3) |
|
|
352 | (1) |
Index |
|
353 | |